Individual
CHARLES SAMUEL KUZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 PAGE RD, PINEHURST, NC 28374-8748
(910) 715-3500
(910) 715-3501
Mailing address
205 PAGE ROAD, PINEHURST, NC 28374-8798
(910) 295-5511
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2009-00759
NC
207RH0003X
Hematology & Oncology Physician
G87657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153AT
BC/BS NC PROVIDER#
—
01
—
FH2967790
FIRSTCAROLINACARE PROVIDER#
—
01
—
N0075K
SC MEDICAID PROVIDER#
SC
Enumeration date
05/28/2006
Last updated
01/24/2018
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